Etienne Jean De Dieu Matanda Matanda
NPI #1811558703 in Kerman, California
Provider Information
- NPI Number
- 1811558703
- Entity Type
- Individual
- Name
- Etienne Jean De Dieu Matanda Matanda
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 22, 2019
- Last Updated
- Jun 22, 2019
Practice Location
- Address
- 14967 W WHITESBRIDGE AVE
- City
- Kerman
- State
- California
- ZIP Code
- 93630-1111
- Phone
- (559) 842-0030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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